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Individual
JACQUELYN MARIE LONGO
Active
Individual
JACQUELYN MARIE LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW14514
FL
Other
Enumeration date
06/15/2021
Last updated
01/12/2024
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